| NPI | 1669266219 |
|---|---|
| Former Name | KELLEY KOMETA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP032895) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN663117) |
| Enumeration Date | 2025-04-08 |
| Last Update Date | 2025-07-30 |